I’ve said this from the very beginning of the ACA.
The entire plan can only exist if the Federal Government reimburses insurance companies for their losses.
Their are provisions for this in the bill, but those spending provisions MUST BE approved by Congress.
There is no way around this.
The ACA was sold as “Budget Neutral”, which we all knew wouldn’t be the case.
You don’t understand, “budget neutral” simply means that the libs don’t care one way or the other.
Even that isn't going to save it. The losses are way more than the reimbursements. That's why many insurers have exited or are considering exiting the program altogether.